| Sayre Health Center | |
|
5800 Walnut Street Rear Philadelphia PA 19139 | |
| (215) 474-4444 | |
| (215) 474-6021 |
| Full Name | Sayre Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 5800 Walnut Street Rear, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kent Bream (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2154744411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sayre Health Center 5800 Walnut Street Rear Philadelphia PA 19139-3836 Ph: (215) 474-4411 | Sayre Health Center 5800 Walnut Street Rear Philadelphia PA 19139 Ph: (215) 474-4444 |
| NPI Number | 1831209113 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 06/20/2012 |
| Medicare PECOS PAC ID | 7416955000 |
|---|---|
| Medicare Enrollment ID | O20061114000505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831209113 | NPI | - | NPPES |
| 1019704400001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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